Merrillville Orthopedics and Spine Institute LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

MERRILLVILLE ORTHOPEDICS AND SPINE INSTITUTE LLC

Practice address

255 E 90TH Dr Ste W1
Merrillville, IN 46410-8145

Phone

(219) 791-0543

Fax

(219) 791-0566

NPI assigned

Jul 6, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bernard Rerri, MDNPI 1972587061

Title

Owner

Phone

(219) 791-0543

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernard E. Rerri, MD

  • Orthopaedic Surgery Physician
  • Centrailia, IL
  • NPI 1972587061

  IN

  Medicare reassignment NPD Authorized official
• Oladosu Samuel Abioye, PHYSICAL THERAPY

  • Physical Therapist
  • Merrillville, IN
  • NPI 1669583217
  Medicare reassignment NPD
• Godwin O Biokoro, PT

  • Physical Therapist
  • Trail Creek, IN
  • NPI 1063587301
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1063145183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E 90TH DR STE W1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108145",
            "telephone_number": "219-791-0543",
            "fax_number": "219-791-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E 90TH DR STE W1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108145",
            "telephone_number": "219-791-0543",
            "fax_number": "219-791-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILLVILLE ORTHOPEDICS AND SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "RERRI",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-791-0543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrillville Clinic PC
• Merrillville Community School Corporation
• Merrillville Dental Center Inc.
• Merrillville Eye Clinic, Inc
• Merrillville Family Medical Center
• Merrillville Pain Relief Center PC
• Merrillville Plaza Anesthesia Corporation
• Merrillville Surgery Center
• Julie Ann Mescall, PSY.D
• Anastacia Austriaco Mesina, PA-C

• Orthopaedic Surgery of the Spine Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Orthopaedic Surgery of the Spine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.